FORM 1023-EZ for PINE GROVE IMPACT CENTER INC
| Field | Data |
|---|---|
| EIN | 82-2083070 |
| Case Number | EO-2018071-000124 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PINE GROVE IMPACT CENTER INC |
| Organization’s Mailing Address | P O BOX 632 |
| City | PINE GROVE |
| State | LA |
| ZIP | 70453 |
| Accounting period End | 12 |
| Primary contact name | TOWANA JACKSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TOWANA JACKSON
PRESIDENT
570 DENNIS LEE ROAD
DENHAM SPRINGS LA 70706
Officer/Director/Trustee Two
YOLANDA LOWE
VICE-PRESIDENT
P O BOX 4377
JACKSON MS 39296
Officer/Director/Trustee Three
CLARETHA DAY
SECRETARY
506 BANKS LANE
PINE GROVE LA 70453
Officer/Director/Trustee Four
NIKKI WILLIAMS
TREASURER
538 DENNIS LEE ROAD
DENHAM SPRINGS LA 70706
Officer/Director/Trustee Five
JUDY WHITLEY
MEMBER-AT-LARGE
198 MARY LEE LANE
PINE GROVE LA 70453
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/10/18 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | YOLANDA LOWE |
| Signature Title | VICE-PRESIDENT |
| Signature Date | 3/8/18 |
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